Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Lee, MD

Individual provider Dermatology Physician · NPI 1255607685

Dr. Michael Lee, MD is a Dermatology in San Diego, California. Qualified in 2012, 14 years ago. Practices with Medderm Corporation, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3965 5th Ave Ste 200
San Diego, CA 92103-3107
Phone: (619) 542-0013
Fax: (619) 542-0559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A128109 (CA)

Record details

NPI number1255607685
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2012
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Medderm Corporation — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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